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Appendix d
Survey Questions and Responses
D-1: Survey Questions and Responses for Airports
1. Name of person completing this section______________________________________________
2. Title of person completing this section _______________________________________________
3. Phone ________________________________________________________________________
4. E-mail ________________________________________________________________________
5. Airport name __________________________________________________________________
6. Airport 3-letter code _____________________________________________________________
7. Is your airport a Joint Use facility with the military? (Y/N)
8. Do you have flights arriving nonstop to your airport from outside the U.S. or Canada? (Y/N)
Of the 49 airports submitting surveys, 40 (81.6%) have flights arriving nonstop from outside the U.S. or
Canada. Table 25 shows the types of such flights arriving at the 40 airports.
Type of Flight n Percent
Scheduled commercial passenger flights 28 71.8
Charter flights 31 79.5
Cargo/freight flights 29 74.4
Industrial aviation flights (e.g., aircraft) 13 33.3
Humanitarian support flights 17 43.6
Emergency repatriation flights 16 41.0
Corporate general aviation flights 34 87.2
Private (non-corporate) general aviation flights 29 74.4
Smith and Greenberg data (2016)
TAblE 25
TYPES Of flIghTS ArrIvINg frOm OUTSIDE U.S. AND CANADA
9. how many monthly international arrivals do you have (rough estimate)?
60.50% 1001 or more
2.60% 501 to 1000
5.30% 151 to 500
18.40% 31 to 150
13.20% 30 or fewer
10. Is your airport a port of entry with CbP or CbSA?
11. how big is the CbP or CbSA staff at your airport?
12. how large (square feet) is the CbP or CbSA facility at your airport?

77
13. What types of communicable disease issues has your airport been involved in responding to?
14. how does your airport expect to learn that it has a potential issue with a communicable disease on
an incoming flight?
[See Table 3 in chapter three for aggregated data for question 14.]
15. Do you have a written communicable disease or quarantine plan for your airport? (Y/N)
16. What form does your communicable disease or quarantine plan take?
TAblE 26
rElATIONShIP Of COmmUNICAblE DISEASE PlANS TO OThEr mAJOr PlANS
Title N Percent
Stand-alone communicable disease/quarantine plan maintained by the airport 24 49.0
Communicable disease/quarantine plan is part of the airport emergency plan
(AEP) 18 36.7
Stand-alone or community communicable disease/quarantine plan maintained
by a health department 9 18.4
Communicable disease/quarantine plan is part of the airport business continuity
plan (BCP), also sometimes called the continuity of business plan (COB). 5 10.2
Not applicableâwe have no written plan and donât share in health
departmentâs plan. 3 6.1
Airport Standard Operating Procedures 1 2.0
Communicable disease/quarantine plan is maintained by CDC Quarantine
Station representatives. 1 2.0
Communicable disease/quarantine plan is maintained as part of county Fire
Rescue Response Plan. 1 2.0
Communicable disease/quarantine plan is part of public safety standard
operating procedure 1 2.0
Plan under development 1 2.0
Note: The total percentage exceeds 100% as some airports have their communicable disease
response plans attached to more than one other plan.
Smith and Greenberg data.
17. how do you communicate your communicable disease plan to other stakeholders?
18. Does CbP or CbSA at your airport have a communicable disease/quarantine plan?
19. Is any part of your communicable disease plan Sensitive Security Information (SSI)?
20. Is your communicable disease plan reflected in your crisis communications plan/emergency
communications plan?
21. Who are the stakeholders in your communicable disease planning process?
TAblE 27
STAkEhOlDErS TO INvOlvE IN COmmUNICAblE DISEASE rESPONSE PlANNINg
Stakeholder
Airport Health Dept.
n % n %
Airport operations 43 87.8 23 62.2
Airport senior management 41 83.7 22 59.5
Airport ARFF and EMS 40 81.6 25 67.6
Local health department 38 77.6
Hospitals and clinics 38 78.6 1 2.7
Airport law enforcement 36 73.5 15 40.5
Airport emergency management 35 71.4 28 75.7
Airport media/public relations 35 71.4 21 56.8
(continued on next page)

79
26. how do you train on your communicable disease/quarantine plan?
27. When was your most recent drill or exercise of your airport/arriving flight communicable disease
preparedness plan?
25. Do you review your communicable disease response plan periodically?
[CATEGORY NAME]
31 airports,
[PERCENTAGE]
[CATEGORY NAME],
4 airports,
[PERCENTAGE]
N/A, 3 airports,
[PERCENTAGE]
[CATEGORY NAME]
11 airports,
[PERCENTAGE]
Not applicable
6%
2016
21%
2015
31%
2014
18%
2013
4%
2012
2%
2010
2%
2009 or before
4%
Never
12%
28. What is the role of outbound social media (push social media) regarding communicable disease at
your airport?
29. Does your plan take into account the possibility of social media posts by a passenger about disease
on an inbound flight while the flight is still in progress?

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30. What protective measures (training, personal protective equipment, other clothing, equipment,
vaccines, countermeasures, medical checks, etc.) do you provide for airport employees?
31. Does your communicable disease/quarantine plan involve diverting inbound flights to other
airports?
32. Can you identify a case at your airport or another airport where the plan or protocol was notably
successful or notably unsatisfactory? (Y/Nâthis will help identify a potential case example.)
33. What are the top three lessons (positive and/or negative) that you learned concerning communi-
cable diseases on arriving flights? See Appendix E for responses.
34. Overall, how prepared do you consider your organization to be in the event of an airport/arrival
flight communicable disease event?
35. If you answered (b) or (c) to the previous question, what is the one thing you feel your organization
should or could do to enhance its airport/arrival flight communicable disease preparedness?
D-2: Survey Questions and Responses for Local Public Health Preparedness Coordinators
1. Name of person completing this section______________________________________________
2. Title of person completing this section ______________________________________________
3. Phone ________________________________________________________________________
4. E-mail _______________________________________________________________________
5. Agency name __________________________________________________________________
6. 3-letter code of nearest airport (e.g., OmA, ATl, YYZ, vNY, ASE, Yvr, etc.) ______________
7. Do you have a written communicable disease or quarantine plan for your airport? (Y/N)
8. What form does your communicable disease or quarantine plan take?
Communicable disease/quarantine plans is part of the airport emergency plan.
Stand-alone communicable disease/quarantine plans maintained by the airport.
Stand-alone or community communicable disease/quarantine plans maintained by a health department
Other (Please specify):
Not applicableâwe have no written plan.
9. Who are the stakeholders in your communicable disease planning process? See Table 27.
10. have you trained on your airport/arriving flight communicable disease preparedness plan? (Y/N)
11. Is your agency expected to provide services at the airport?
[CATEGORY
NAME], 21 airports,
[PERCENTAGE]
[CATEGORY
NAME], 3 airports
[PERCENTAGE]
[CATEGORY
NAME], 25 airports,
[PERCENTAGE]

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12. how does your agency meet requirements to surge for an airport communicable disease response?
(Please mark all that apply.)
Surge staff available
request surge staff
re-prioritize existing programs/staff
Temporarily suspend programs/divert staff
Other (Please specify):
13. When was your most recent drill or exercise of your airport/arriving flight communicable disease
preparedness plan?
14. Overall, how prepared do you consider your organization to be in the event of an airport/arrival
flight communicable disease event?
very prepared
Somewhat prepared
Not prepared
15. If you answered (b) or (c) to the previous question, what is the one thing you feel your organization
should or could do to enhance its airport/arrival flight communicable disease preparedness?
D-3: Template for Expert Validity Interviews
The senior officials from five health organizations were asked to comment on preliminary conclusions
and further research needs after the completion of data collection and late in the analytical process:
Conclusion 1: health departments and airports benefit from pre-established relationships and joint
planning efforts for communicable disease response.
Conclusion 2: miscommunication is a huge risk, so message discipline and use of all forms of com-
munication are essential. A Joint Information Center is very helpful.
Conclusion 3: A unified command with a public health, law enforcement, fire/EmS and airport presence
is the most effective way to manage a communicable disease incident.
Conclusion 4: An airport needs to have quick access to a health department SmE.
Conclusion 5: Airports and health departments broadly agree on the importance of including stake-
holders in planning and on who those stakeholders are.
Conclusion 6: The larger the airport, the more likely it and its hD partner are to say itâs very Prepared.
[65% for large hubs, 22% for medium hubs, 17% for small hubs, 0% for non-hubs, but 56% for
relievers (really big gA airports) and 50% for small gA airports].
Conclusion 7: looking at the 37 matched pairs of airports and hDs, 24 (about 2/3) agree on level of
preparedness. Overall, the biggest category of agreement is somewhat prepared (16 of 37 airports).
further research Topic 1: Information about a sick passenger on an international flight flows, but
similar information is not available for passengers on domestic flights.
further research Topic 2: Uniform procedures for getting flight manifests when hD asks airport for
help after a disease is detected.
further research Topic 3: Are requirements for screening outgoing passengers coming?
What other areas of further research would you like to see?
TAblE 28
YEAr hEAlTh DEPArTmENT mOST
rECENTlY DrIllED WITh AIrPOrT
Year n %
2016 12 35.3%
2015 6 17.6%
2014 6 17.6%
2013 1 2.9%
2010 1 2.9%
2009 or before 2 5.4%
Never 4 11.8%
N/A 2 5.4%
n = 34.
Smith and Greenberg data.

TRB's Airport Cooperative Research Program (ACRP) Synthesis 83: Preparing Airports for Communicable Diseases on Arriving Flights examines current disease preparedness and response practices at U.S. and Canadian airports in coordination with public health officers and partners. While larger airports that receive international flights are most likely to experience the challenges associated with these events, the preparedness and response lessons are transferable to the aviation sector more widely. Smaller airports may be final destinations of those traveling with communicable diseases, so report findings are useful to all airport operators and local public health officers.

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